Ingqondo yasemva kokubeleka: yintoni, uyichonga njani kwaye uyiphatha njani

Umxholo

• Iimpawu eziphambili
• Yintoni ebangela isifo sengqondo
• Unyango lwenziwa njani
• Umahluko phakathi kwengqondo yengqondo kunye noxinzelelo lwasemva kokubeleka

I-postpartum psychosis okanye i-puerperal psychosis sisifo sengqondo esichaphazela abanye abantu basetyhini emva kweeveki ezi-2 okanye ezi-3 zokubeleka.

Esi sifo sibangela iimpawu kunye neempawu ezinje ngokudideka kwengqondo, uloyiko, ukukhala kakhulu, kunye nokukhohlisa kunye nemibono, kwaye unyango kufuneka lwenziwe kwisibhedlele sabagula ngengqondo, phantsi kweliso kunye nokusetyenziswa kwamayeza ukulawula ezi mpawu.

Ihlala ibangelwa ngenxa yotshintsho lwehomoni efunyanwa ngabasetyhini ngeli xesha, kodwa ikwachukunyiswa kakhulu ziimvakalelo ezixubeneyo ngenxa yotshintsho ekufikeni komntwana, okunokubangela usizi nokudakumba nasemva kokubeleka. Funda ngakumbi malunga nokuba yintoni uxinzelelo lwasemva kokubeleka.

Iimpawu eziphambili

I-Psychosis ihlala ivela kwinyanga yokuqala emva kokubeleka, kodwa inokuthatha ixesha elide ukubonisa iimpawu. Ingabangela iimpawu ezinje:

• Ukuphumla okanye ukuphazamiseka;
• Ukuziva ubuthathaka obukhulu kunye nokungakwazi ukuhamba;
• Ukulila kunye nokusilela kolawulo kulawulo;
• Ukungathembani;
• Ukudideka kwengqondo;
• Ukuthetha izinto ezingenantsingiselo;
• Ukugqithiswa ngumntu okanye into ethile;
• Yiba nomfanekiso-ngqondweni wamanani okanye uve amazwi.

Ukongeza, umama usenokuba neemvakalelo ezigqwethekileyo malunga nenyani kunye nosana, ukusukela eluthandweni, ukungakhathali, ukudideka, umsindo, ukungathembi kunye noloyiko, kwaye, kwiimeko ezinzima kakhulu, usenokude abeke ubomi bomntwana engozini.

Ezi mpawu zinokuvela ngesiquphe okanye zibe mbi kancinci kancinci, kodwa kufuneka kufunwe uncedo kwakamsinya nje ukuba uqaphele ukubonakala kwayo, kuba unyango lukhona kwangoko, kokukhona amathuba okuba anyange kwaye aphile.

Yintoni ebangela isifo sengqondo

Ixesha lokufika komntwana liphawula ixesha leenguqu ezininzi, apho iimvakalelo ezinje ngothando, uloyiko, ukungazithembi, ulonwabo nosizi zixubene. Eli nani likhulu leemvakalelo, elinxulunyaniswa notshintsho kwiihomoni kunye nomzimba womfazi ngeli xesha, zizinto ezibalulekileyo ezibangela ukuqhambuka kwengqondo.

Ke, naliphi na ibhinqa linokuba nengxaki yengqondo yasemva kokubeleka, nangona kukho umngcipheko omkhulu kwabanye abantu basetyhini abenza mandundu ukudandatheka kwasemva kokubeleka, esele benembali yoxinzelelo kunye nokuphazamiseka kwengqondo okuguquguqukayo, okanye abafumana ukungqubana kubomi bomntu okanye bosapho, njengobunzima kubungcali , ubomi bezoqoqosho, kwanokuba babekhulelwe ngokungacwangciswanga.

Unyango lwenziwa njani

Unyango lwengqondo lwasemva kokubeleka lwenziwa ngugqirha wezifo zengqondo, kusetyenziswa amayeza ngokweempawu zowasetyhini ngamnye, ezinokuthi zibe neyeza lokuthomalalisa uxinzelelo, njenge-amitriptyline, okanye ii-anticonvulsants, ezinjenge carbamazepine. Ngamanye amaxesha, kunokuba yimfuneko ukwenza i-electroshocks, eyonyango lwe-electroconvulsive, kunye nonyango lwengqondo lunokunceda abantu basetyhini abanesifo sengqondo esihambelana nokudakumba kwasemva kokubeleka.

Ngokubanzi, kuye kufuneke ukuba owasetyhini alaliswe esibhedlele ngeentsuku zokuqala, ade abe uyaphucuka, ukuze kungabikho bungozi kwimpilo yakhe nakuloo mntwana, kodwa kubalulekile ukuba unxibelelwano lugcinwe, kutyelelo olugadisiweyo, ukuze ibhondi ayilahleki nosana. Inkxaso yosapho, nokuba ngoncedo lokhathalelo lomntwana okanye ngenkxaso yemvakalelo, kubalulekile ukunceda ekuphulukaneni nesi sifo, kwaye unyango lwengqondo lukwabalulekile ukunceda abasetyhini baqonde umzuzu.

Ngonyango, owasetyhini unokunyangeka kwaye abuyele ekuhlaleni kunye njengentsapho kunye nosapho, nangona kunjalo, ukuba unyango alwenziwanga kwakamsinya, kunokwenzeka ukuba abe neempawu ezibi ngakumbi nangakumbi, ukuya kwinqanaba lokulahleka ngokupheleleyo Ukuqonda inyani, ukukwazi ukubeka ubomi bakho kunye nobomi bosana emngciphekweni.

Umahluko phakathi kwengqondo yengqondo kunye noxinzelelo lwasemva kokubeleka

Uxinzelelo lwasemva kokubeleka luhlala lwenzeka kwinyanga yokuqala yokuzalwa komntwana, kwaye luqulathe iimvakalelo ezinje ngokudabuka, ukudandatheka, ukukhala ngokulula, ukudimazeka, ukutshintsha kokulala kunye nokutya. Kwiimeko zoxinzelelo, kunzima kubafazi ukuba benze imisebenzi yemihla ngemihla kunye nokwenza unxibelelwano nosana lwabo.

Kwi-psychosis, ezi mpawu zinokuvela, njengoko zinokuvela kuxinzelelo, kodwa, ukongeza, umfazi uqala ukuba neengcinga ezingahambelaniyo, iimvakalelo zentshutshiso, utshintsho kwiimvakalelo kunye nokuphazamiseka, ngaphandle kokuba nakho ukuba nemibono okanye ukuva amazwi. I-postpartum psychosis yonyusa umngcipheko kukamama wokwenza ukubulala usana, kuba umama ukhulisa iingcinga ezingenangqondo, ekholelwa ukuba usana luya kuba nesiphelo esibi kunokufa.

Ke, kwimeko yengqondo, umfazi ushiywe ngaphandle kwenyani, ngelixa edandathekile, ngaphandle kweempawu, uyayazi into eyenzeka macala onke kuye.